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Third and Fourth Heart Sound Gallop

Virtual Auscultation

patient torso with stethoscope chestpiece
patient position during auscultation

The patient's position should be supine.


Listen to the recording of a third and fourth heart sound gallop. Note that the third and fourth heart sounds are low frequency. S4 has a pitch somewhat lower than S3.

Patients with heart failure will often have a third heart sound. As the patient's condition improves, this S3 becomes a third and fourth heart sound gallop.


Heart Sounds Video

Authors and Reviewers

Authored by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient. Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN. Last Update: 11/28/2021

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